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In people with vitamin B12 malabsorption, 10001500 g/day of oral vitamin B12 [74,75,76,77] or 1000 g i.m

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Keep notes on energy, sleep, focus, and recovery to measure real value

Monitoring and follow-up Monitor clinically and repeat tests as indicated by the underlying condition Ongoing monitoring of liver function, renal function, and FBC as clinically indicated Regular review in primary care or specialist clinics for underlying conditions Patient advice: Patients should understand that elevated B12 is a marker requiring investigation rather than a condition requiring direct treatment

4.10 Future work Future research should consider broadening the demographic scope to include non-English language posts, providing an expanded global perspective on pet owner challenges in administering medications